Tag Archives: healthcare

A longer read for the lockdown: Reform of health and social care without further top-down re-organisation

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In the daily update on Friday 15th May, Matt Hancock said that the current crisis had demonstrated how closely health and social care need to work together and had acted as a catalyst to reform, referring to “integration”. Care homes are not, and were never intended to be, hospitals. The residents are just as entitled to hospital care, if that is what is needed, as are the rest of us. That so many have been left to die in Care Homes, rather than being admitted to hospital, and thereby denied the benefit of oxygen, ventilators and intensive care which might have saved their lives, is the real concern. The discharge of older people from hospital to care homes, without testing, in order to free up beds for coronavirus patients, may also have spread the virus.

However, that Baroness Ros Altmann also referred to “integration” on “Good Morning Britain”, and Matt Hancock reiterated it on the 21st May, would suggest the matter is under consideration.

Countless enquiries into “child abuse” and “adult abuse and neglect” have criticised agencies for not working together. And successive Governments have tried to get Health and Social Services, in particular, to work more closely together from “joint funding” in the 1970s to the “pooling of budgets”. But no Government has grasped the nettle of the lack of common geographical boundaries, different funding streams and different lines of accountability which have been the real impediments. This does not mean a merger of health and social services, as that would further marginalise Social Work and a different combination of agencies are required depending upon the problem and desired outcome. For example: Child Protection requires children’s services, health, education, the police and foster care to work together. Older People require Adult Services, Health, Housing, Leisure Services and Income Support to work together. – But not all of them all the time. It is quite a complex multi-dimensional organisational issue across countless scenarios.

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9-10 November 2019 – the weekend’s press releases

That’s rather embarrassing, in that I managed to fall asleep mid-edit. So, time to catch up…

  • Lib Dems respond to Conservative announcement on GP appointments
  • Lib Dems: Boris Johnson should call Cobra meeting over flooding emergency
  • Labour People’s Vote promise rings hollow – Lib Dems
  • Labour People’s Vote promise rings hollow – Lib Dems
  • Lib Dems: Manifestos must receive OBR scrutiny

Lib Dems respond to Conservative announcement on GP appointments

Responding to the Conservative Party’s announcement today on GP appointments, Luciana Berger, Liberal Democrat Shadow Secretary for Health, Wellbeing and Social Care, said:

This latest Tory announcement isn’t offering any real solutions to the current

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13 December 2018 – (not just) today’s press releases

You’d think that putting the day’s piece to bed after 11.30 p.m. should cover everything. But no, the Press Teams both in London and Cardiff had one last shot in the dying moments of yesterday, so I’m including them with today’s batch. Enjoy…

  • Theresa May Must Give the People the Final Say – Welsh Lib Dems
  • PM must now change course and offer people the final say
  • Soaring numbers of children trapped in temporary accommodation is shameful
  • Welsh Lib Dems Welcome Prostate Cancer MRI Scans
  • Govt must set out plans to avoid NHS winter crisis
  • Lib Dems demand MPs holidays are cancelled to vote on Brexit
  • Cable:

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12 November 2018 – today’s press releases

This feature is now back on UK time, and so, here’s what we’ve got for you this evening…

  • Welsh Lib Dems Investing in Teachers
  • Brexit can be stopped but Corbyn must get out of the way
  • Ed Davey: Hostile environment must be completely scrapped
  • Brake: Corbyn must listen to Brown

Welsh Lib Dems Investing in Teachers

Welsh Liberal Democrat Education Secretary Kirsty Williams has announced the single biggest investment in support for Wales’ teachers since devolution through a groundbreaking £24m package to help teachers deliver Wales’ new curriculum.

The National Approach to Professional Learning (NAPL), announced today by the Education Secretary, will focus on professional learning and …

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Will current NHS cuts raise prices and lower quality?

 

Most, if not all economic and political decisions have two prime factors – price and quality. And this includes national healthcare. Decision making involves information. Most, if not all information can be placed on a continuum between the verifiable and the fake. (Ditto “News”!) Here are some verifiable items of information relevant to our NHS.

PRICE: Some national average healthcare costs/prices per person per year:

  • The British pay $3,364
  • The Japanese pay $3,713
  • The French pay $4,361
  • The Germans pay$4,920
  • The Americans pay $9,086

Source: OECD Health data 2013

QUALITY: Some healthcare rankings:

  • United Kingdom 18
  • Canada                 30
  • Japan                    10
  • Germany              25
  • France                    1
  • USA                      37
  • Cambodia          174

Source: The Patient Factor

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Are you a teenager or first year student just about to go away? – you may need to get vaccinated for the main Meningitis types

The NHS is providing a free vaccine for certain strains of meningitis to teenagers, sixth-formers and all first-year students who are starting college or university this autumn. All you need to do is contact your GP surgery to arrange a jab, if medically appropriate.

The NHS Choices website says:

Young teenagers, sixth formers and ‘fresher’ students going to university for the first time are now routinely offered a vaccination to prevent meningitis W disease.

The Men ACWY vaccine protects against four different causes of meningitis and septicaemia – meningococcal (Men) A, C, W and Y diseases.

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Opinion: Clinical Commissioning Groups – don’t hold your breath

nhs sign lrgWe are now 6 months into the much touted reorganisation of the health service, with the advent in April this year of Clinical Commissioning Groups to replace Primary Care Trusts, the only real difference being that GPs run the Clinical Commissioning Groups.

The reorganisation did ensure a reduction in cost by the simple expedient of setting Clinical Commissioning Group administrative budgets one third below historic  Primary Care Trust administrative cost, yielding a Clinical Commissioning Group admin cost of £25/head of population. There are 211 Clinical Commissioning Groups. The adjusted population figure is 53.8m, and so total Clinical Commissioning Group admin spend is £1.345bn. Clinical Commissioning Groups are administering a total health budget of £60bn, averaging £284m per Group. Clinical Commissioning Group admin costs are therefore 2.24% of total health service expenditure.

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